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Angel Lane, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Midlothian, Virginia
NPI 1215389200

Angel Lane, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Midlothian, VA. Angel Lane, Llc practices in Midlothian, VA. The NPI Number for Angel Lane, Llc is 1215389200 and holds a License No. 2471 (Virginia).

The current practice location address for Angel Lane, Llc is 11419 Courthouse Acres Dr, Midlothian, VA and can be reached out via phone at 804-833-0401.

Location: 11419 Courthouse Acres Dr, Midlothian, VA, 23114-5168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215389200
Provider Name
Angel Lane, Llc
Credential
Provider Entity Type
Organization
Address
11419 Courthouse Acres Dr, Midlothian, VA, 23114-5168
Phone Number
804-833-0401
Fax Number
Provider Enumeration Date
07/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2471 05 VA
institution
Provider Business Practice Location Address Details
Address
11419 Courthouse Acres Dr
City
Midlothian
State
Virginia
Zip
23114-5168
Phone Number
804-833-0401
Fax Number
person
Provider Business Mailing Address Details
Address
11419 Courthouse Acres Dr
City
Midlothian
State
Virginia
Zip
23114-5168
Phone Number
804-833-0401
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2471 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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